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Transcript of The Mediterranean Network for the management of food induced diseases WORKSHOP MEDI-CEL The...
The Mediterranean Network for the management of food induced diseases
WORKSHOP MEDI-CEL
The Mediterranean Network for Celiac Disease V Progress Meeting - Istanbul, June 30 th July 1st 2012
Contry: Montenegro Location: Southeast
Europe Area total 13,812 km2
Population (2011) 625,266
Density 50/km2
Government: parlamentary republic
Capital: Podgorica
Montenegro
In Montenegro lives 145 126 children under 18 of age The total number of boys is 75 367 of girls 69 759 132 coeliacs
Referal center - Podgorica Clinical Center of Montenegro Institute for childen s diseases Ministry of Health Republic health insurance Coeliac society of Montenegro
Pimary care: Pediatricians and General doctors ( lack of awareness of CD in children)
Referal center - Podgorica Clinical Center of Montenegro Institute for children s diseases
Pediatrition – gastroenterologist endoscopist Pathology department Laboratory
Undergraduate and postgraduate education of physicians at University of Montenegro
Training for some young doctors
Training for physicians specializing pediatrics , 3 months
Society of Pediatrics ( lectures, meetings...)
Publication on the field of CD in national health journals and congress proceedings
Institute for children s diseases
ESPGHAN guidelines are applied
Diagnosis is in majority of cases confirmed with small bowel biopsy
We colected data and prospective study about CD
Support for national association
Diagnostic
Anti tTG
Anti-gliadin antibody (AGA)
Endoscopic and biopsy small bowel mucosal
Patochystological examination (Marsh classification modified by Oberhuber)
HLA (not widely available the nearest place is Belgrade, Serbia)
We sometimes screen family members serologically and never genetically
Coeliac society of Montenegro
Establiched 2003gWeb pageEducation - lectures, seminars,Training for specific population groups –preschool
and school children, teachers in vocational school etcGive brochures, recepies, news, medical advaice etcAdults and children
After the diagnosis:
Written instructions on gluten free diet Some recepiesRecommendation to join the patients’
society
Gluten free diet
The situation of the gluten free diet in Montenegro, in relation to cultural and traditional attitudes
Some companies from Europe are present on our market, as well as some minor local producers
Traditional naturally gluten free foods are: potatoes and corn.
Children who suffer from coeliac disease have 4 to 10 kg of gluten- free flour
Problems
Awareness and recognition of celiac disease begins at the primary health care level
We havenot support groups nutritionits, nurses, psychologists...
Gastroenterologists-1
Society of Pediatricians, Society of Gastroenterologists - lectures, meetings,
Coeliac society of Montenegro - articles in newspapers, interviews for radio and TV, educational workshops for family members and interested